How to Avoid TSW
Topical steroids are commonly used to treat skin conditions such as eczema and psoriasis. However, prolonged use of these medications can lead to a condition known as topical steroid withdrawal. This can cause a range of uncomfortable symptoms, including redness, itching, and burning. If you're experiencing this condition, there are steps you can take to manage the symptoms and promote healing.
What is Topical Steroids Withdrawal?
Topical steroid withdrawal, also known as topical steroid addiction, TSW, or red skin syndrome, is a condition that occurs when a person stops using topical steroids after prolonged use. The symptoms can include redness, itching, burning, and flaking of the skin. This condition can be difficult to diagnose and treat, but with the right approach, it is possible to manage the symptoms and promote healing.
Symptoms of topical steroids withdrawal
The symptoms of topical steroid withdrawal can vary from person to person, but some common ones include redness, itching, burning, and flaking of the skin. In some cases, the skin may also become thin and fragile, making it more susceptible to injury. These symptoms can be very uncomfortable and can have a significant impact on a person's quality of life. If you suspect that you may be experiencing topical steroid withdrawal, it's important to speak with a healthcare professional for an accurate diagnosis and treatment plan.
Coping strategies for Topical Steroids Withdrawal
Coping with topical steroid withdrawal can be challenging, but there are strategies that can help. First and foremost, it's important to work closely with a healthcare professional to develop a treatment plan that addresses your specific symptoms and needs. This may include gradually tapering off the use of topical steroids, using alternative treatments like moisturisers and anti-inflammatory creams, and managing any underlying conditions that may be contributing to your symptoms. Additionally, practicing good self-care habits like getting enough sleep, eating a healthy diet, and managing stress can also help to alleviate symptoms and improve overall well-being.
How Can you Avoid Developing TSW?
Using steroid treatments as instructed by your doctor. Do not exceed the stated dose.
Take a break- You should not use steroids daily for more than 2-4 weeks at a time. Or try using your treatment just twice a week. Speak to a medical professional to determine which is best for you.
Talk to your prescriber about whether a low or mid-dose steroid treatment will be effective enough for you
Avoid sensitive areas. A steroid treatment you have been prescribed for your body, should not be used on your face
Look at natural options. Granted- results are unlikely to be as quick as steroids. However, persevere as the long-term and health benefits can be huge. Natural treatments can include moisturising, salt baths (if symptoms are mild), essential oils, or dietary changes.
Avoid triggers- Avoid anything you know could lead to a flare-up, such as stress, alcohol, or smoking.
Moisturise- Keep skin well moisturised while using steroid treatments. Emollients tend to be the most effective for very dry and sensitive skin.
Avoid further irritation- Don’t take hot baths or showers, and try to wear loose clothing.
You may also find adapting your skincare useful, and some days, you may wish to cover up TSW rashes using make-up:
Use an ultra-gentle face wash, designed specifically for very sensitive skin, such as Neutrogena Hydro Boost Water Gel Cleanser. This lightweight, calming formula also contains aloe vera.
Moisturise with a fragrance-free moisturiser. Moisturizing is essential when you're experiencing TSW. Keeping your skin hydrated with a moisturizer can reduce itchy, dry, and flaky skin. Choose a moisturizer that's free from fragrances, steroids, and other irritants. Look for ingredients such as ceramides, glycerin, and hyaluronic acid that help to protect and soothe the skin. Apply your moisturizer as often as needed, making sure to slather it on thickly.
Try and go without make-up when you can, but it's not always possible. For days when you want to cover up, start by using a Primer. This smoothes the surface for makeup, as TSW tends to produce dry skin and a bumpy appearance.
For special occasions, try a high-coverage foundation for reducing any redness. High-coverage foundation is potent, so begin with a small amount and blend well. Using too much foundation can give your skin a cakey, unnatural look. Start in the center of your face and work outward, using a damp beauty sponge or a foundation brush to blend the product into your skin. If you need to build up the coverage, do so gradually. Start with a light layer and wait for it to set before adding more product. Pat instead of swiping the product to avoid streaks, blend carefully around the jawline, hairline, and ears.
Follow by a gentle dab of high-coverage concealer. Go for a yellowish tone, ideal for hiding these rashes. Look for a concealer that is gentle and non-irritating to the skin. Avoid products with fragrance, alcohol, or other potential irritants. Find a shade that matches your skin tone. It's helpful to test the concealer in natural light and apply it to an area that's affected by TSW to make sure it blends well. Use a small brush or your fingertip to apply the concealer directly to any red or inflamed areas. Avoid using too much product, as this can look cakey and draw attention to the affected area. Blend gently using a stippling motion to avoid rubbing the skin and causing further irritation.
Finally, lightly press on a loose powder. This evens skin texture and ensures cover-up lasts all day. Powder makeup is an excellent choice for those with TSW as it doesn't usually contain the same amount of oils or emollients that can exacerbate skin irritation. Additionally, it is much easier to apply and remove, which is essential when dealing with inflamed or painful skin. When looking for powder makeup for TSW, it's best to choose products that are marketed toward sensitive skin. These products typically contain fewer chemicals and ingredients that can irritate sensitive skin but still provide the necessary coverage. Some brands to consider are BareMinerals, Juice Beauty, and Jane Iredale.
Alternative Treatments for Skin Conditions
For those experiencing topical steroid withdrawal, alternative treatments may be necessary to manage skin conditions. Moisturisers and anti-inflammatory creams can help soothe and hydrate the skin, while phototherapy and immunosuppressive medications may be prescribed by a healthcare professional. It's important to work closely with a healthcare professional to determine the best course of treatment for your specific needs and symptoms. Additionally, practicing good self-care habits like avoiding triggers, managing stress, and maintaining a healthy lifestyle can also help to improve skin health.
Importance of consulting with a healthcare professional.
If you suspect that you are experiencing topical steroid withdrawal, it is important to consult with a healthcare professional. They can help diagnose the condition and provide guidance on the best course of treatment for your specific needs. It is also important to work closely with your healthcare professional throughout the treatment process to monitor your progress and adjust your treatment plan as needed. While alternative treatments may be necessary to manage your symptoms, it is important to remember that they should always be used under the guidance of a healthcare professional.
If you have confirmed you have TSW, steroid use should be stopped or drastically reduced for a few weeks. Talk to a doctor about alternatives. A cold compress can do wonders for relieving itchiness and stinging. A natural fluoride-free toothpaste helps if you have TSW around your mouth. We recommend Aloedent Whitening Toothpaste which contains Aloe Vera rather than any harsh chemicals.
TSW can be incredibly mentally draining, and can often involve a lot of self-blame. Make sure you have the support you need. TSW doesn't seem to be that widely acknowledged in the skin condition world, except on Instagram. Instagram has a wonderful community of TSW sufferers, who share photos, stories, and advice. Drought Skin Instagram Page.
As always, if you have any queries or a story to share, we reply to all messages. You can contact us at info@droughtskin.com
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